Metastatic seeding of bile duct carcinoma in the transhepatic catheter tract: Report of a case

Mitsuhiro Inagaki, Hidehiko Yabuki, Michinori Hashimoto, Masayuki Maguchi, Shuichi Kino, Masayuki Sawa, Hidenori Ojima, Yoshihiko Tokusashi, Naoyuki Miyokawa, Mitsuo Kusano, Shinichi Kasai

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We describe herein the case of a 51-year-old woman in whom metastatic tumor seeding of the percutaneous transhepatic biliary drainage tract occurred following a pancreatoduodenectomy for carcinoma of the distal common bile duct. An abdominal computed tomography scan done 6 months after the initial operation detected a hepatic lesion located at the site of the previous percutaneous transhepatic biliary drainage tract. Implantation of bile duct carcinoma in the drainage tract was diagnosed, and the recurrent tumor was successfully resected by performing a subsegmentectomy of segment 3 and removal of the adjacent abdominal wall. At present, 5 years and 4 months after the second resection, the patient is in good health without any signs of recurrence. This case report demonstrates that an aggressive surgical approach should be performed for tumor seeding of a transhepatic biliary catheter tract.

Original languageEnglish
Pages (from-to)1260-1263
Number of pages4
JournalSurgery Today
Issue number12
Publication statusPublished - 1999
Externally publishedYes



  • Adenosquamous carcinoma
  • Bile duct obstruction
  • Percutaneous transhepatic biliary drainage
  • Seeding metastasis

ASJC Scopus subject areas

  • Surgery

Cite this

Inagaki, M., Yabuki, H., Hashimoto, M., Maguchi, M., Kino, S., Sawa, M., Ojima, H., Tokusashi, Y., Miyokawa, N., Kusano, M., & Kasai, S. (1999). Metastatic seeding of bile duct carcinoma in the transhepatic catheter tract: Report of a case. Surgery Today, 29(12), 1260-1263.